中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
3期
19-20
,共2页
邱汉辉%张清祥%张岭春%谢战忠%李先
邱漢輝%張清祥%張嶺春%謝戰忠%李先
구한휘%장청상%장령춘%사전충%리선
胸腔积液%胸膜活检%结核%恶性
胸腔積液%胸膜活檢%結覈%噁性
흉강적액%흉막활검%결핵%악성
Pleural effusion%Pleural biopsy%Tuberculosis%Malignant
目的：探讨经皮胸膜活检对胸腔积液病因诊断的价值和安全性。方法回顾性分析86例胸腔积液行闭式胸膜活检患者的临床资料。结果经皮胸膜活检成功率为95.3%，直接明确病因诊断的共57例，确诊率为66.3%，其中结核性胸膜炎阳性率为91.3%，恶性胸腔积液的阳性率48.4%，发生胸膜反应3例，气胸1例。结论经皮胸膜活检操作简单、易行、创伤小、安全、阳性率高，对胸腔积液的诊断具有较高价值。
目的：探討經皮胸膜活檢對胸腔積液病因診斷的價值和安全性。方法迴顧性分析86例胸腔積液行閉式胸膜活檢患者的臨床資料。結果經皮胸膜活檢成功率為95.3%，直接明確病因診斷的共57例，確診率為66.3%，其中結覈性胸膜炎暘性率為91.3%，噁性胸腔積液的暘性率48.4%，髮生胸膜反應3例，氣胸1例。結論經皮胸膜活檢操作簡單、易行、創傷小、安全、暘性率高，對胸腔積液的診斷具有較高價值。
목적：탐토경피흉막활검대흉강적액병인진단적개치화안전성。방법회고성분석86례흉강적액행폐식흉막활검환자적림상자료。결과경피흉막활검성공솔위95.3%，직접명학병인진단적공57례，학진솔위66.3%，기중결핵성흉막염양성솔위91.3%，악성흉강적액적양성솔48.4%，발생흉막반응3례，기흉1례。결론경피흉막활검조작간단、역행、창상소、안전、양성솔고，대흉강적액적진단구유교고개치。
Objective To evaluate the value and safety of percutaneous pleural biopsy in the etiological diagnosis of pleural effusion. Methods A retrospective analysis of the clinical data of 86 patients with pleural effusion for closed pleural biopsy patients. Results Transcutaneous pleural biopsy success rate was 95.3%, the direct etiological diagnosis were 57 cases, the diagnosis rate was 66.3%, the positive rate of tuberculosis pleurisy was 91.3%, the positive rate of malignant pleural effusion was 48.4%, 3 cases of pleural reaction, 1 case of pneumothorax. Conclusion Transcutaneous pleural biopsy has the advantages of simple operation, convenient, less traumatic, safe, high positive rate, has high value in diagnosis of pleural effusion.
